Individual
SE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(703) 969-7309
Mailing address
4931 SAUQUOIT LN, ANNANDALE, VA 22003-5100
(703) 969-7309
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA000129
—
Other
Enumeration date
02/22/2020
Last updated
05/22/2020
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